DR. DOROTHY MARIE MANDEL PSYCHOLOGY LICENSE
NPI 1679882880
Psychologist - Adult Development & Aging in Santa Rosa, CA

Active since October 05, 2010PECOS Enrolled
1144 SONOMA AVE, STE 117, SANTA ROSA, CA 95405(707) 322-3222(707) 526-1913 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dorothy Marie Mandel Psychology License NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOROTHY MARIE MANDEL PSYCHOLOGY LICENSE (NPI 1679882880) is an individual adult development & aging provider in Santa Rosa, California, licensed in California (PSY23697) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1679882880
Entity TypeIndividualFemale
Primary Taxonomy103TA0700X
Provider Legal NameDR. DOROTHY MARIE MANDELCredential: PSYCHOLOGY LICENSE
Location Address1144 SONOMA AVE, STE 117Santa Rosa, CA 95405-4812
Mailing Address1144 Sonoma Ave, Ste 117Santa Rosa, CA 95405-4812 · (707) 322-3222 · Fax (707) 526-1913
Fax(707) 526-1913
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 5, 2010
Last NPPES UpdateFebruary 20, 2020
NPI 1679882880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers
Taxonomy Code103TA0700X
License Licensed in CA · PSY23697
Definition
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License PSY23697 (CA)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PSY23697 (CA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY23697 (CA)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY23697 (CA)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY23697 (CA)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License PSY23697 (CA)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License PSY23697 (CA)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License PSY23697 (CA)
1144 SONOMA AVE, Santa Rosa, CA 95405

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Dorothy Marie Mandel Psychology License is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183806284
PECOS Enrollment IDI20110310000741
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
459 services39 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
23 services23 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1144 SONOMA AVE, SUITE 121
SANTA ROSA, CA 95405
Psychologist (Clinical)
1144 SONOMA AVE, STE 104
SANTA ROSA, CA 95405
Physical Medicine & Rehabilitation
1144 SONOMA AVE, SUITE 115
SANTA ROSA, CA 95405
Marriage & Family Therapist
1144 SONOMA AVE, SUITE 117
SANTA ROSA, CA 95405
Marriage & Family Therapist
1144 SONOMA AVE, SUITE 117
SANTA ROSA, CA 95405
Pediatrics
1144 SONOMA AVE, 113
SANTA ROSA, CA 95405
Psychologist (Clinical)
1144 SONOMA AVE, STUITE 117
SANTA ROSA, CA 95405
Dentist
1144 SONOMA AVE, SUITE 105
SANTA ROSA, CA 95405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dorothy Mandel's NPI number?

The NPI number for Dorothy Mandel is 1679882880. It was assigned to this individual provider in the NPPES registry on October 5, 2010.

Where is Dorothy Mandel located?

Dorothy Mandel practices at 1144 Sonoma Ave Ste 117, Santa Rosa, CA 95405. The listed phone number is (707) 322-3222.

What is Dorothy Mandel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Is Dorothy Mandel enrolled in Medicare?

Yes. Dorothy Mandel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dorothy Mandel was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.